Small Intestine Channel

1
YANGGU SI-5
Yang Valley
Jing-River and Fire point of the Small
Intestine channel
LOCATION
At the ulnar border of the wrist, in the depression between
the head of the ulna and the triquetral bone.
LOCATION NOTE
Most sources locate this point between the styloid process
of the ulna and the triquetral bone, but in practice, the
styloid process of the ulna may not be palpable and where
it is palpable it often lies slightly posterior to Yanggu SI-5.
NEEDLING
Perpendicular insertion 0.3 to 0.5 cun.
ACTIONS
Clears heat and reduces swelling
Calms the spirit
INDICATIONS
Swelling of the neck and submandibular region, lock-
jaw, stiffness of the tongue in babies preventing
suckling, tongue thrusting, toothache in both the up-
per and lower jaw, tinnitus and deafness, visual
dizziness, redness, swelling and pain of the eye.
Mania, mad walking, clonic spasm, pain of the chest
or lateral costal region with difficulty in breathing,
febrile disease with absence of sweating, chills and
fever.
Pain of the wrist and hand, pain of the arm, shoulder
pain with inability to dress oneself, painful haemor-
rhoids.
COMMENTARY
Yanggu SI-5 is the fire and jing-river point of the Small
Intestine channel. Unlike the more distal points of the
channel, it has relatively less action on the channel as a
whole, in other words it is less used to treat disorders of
the hand, arm or shoulder, but focuses rather on the eyes,
ears and jaw. As a fire point it is able to clear heat and
swelling and soothe contraction in these regions. It is
specifically indicated for swelling of the neck and sub-
mandibular region, lockjaw, contraction of the tongue in
babies, tongue thrusting (where the tongue is repeatedly
thrust out of the mouth like a snakes tongue) and tooth-
ache. Whilst most classical sources recommend this point
for toothache of the upper jaw, Sun Si-miao the famous
7th century physician incorporated it in prescriptions for
toothache of both the upper and lower jaw.
As the fire point of the Small Intestine channel (interiorly-
exteriorly related to the Heart channel) Yanggu SI-5 is able
to clear fire from the Heart and calm the spirit and is
indicated for mania and mad walking.
Yanggu SI-5 is indicated (and appears in combination
with distal points of the Bladder channel) for haemor-
rhoids.
Finally, in learning the names of the points of the yang
channels at the wrist, it is helpful to remember the similar-
ity between their names: Yangxi L.I.-5 (Yang Stream),
Yanggu SI-5 (Yang Valley) and Yangchi SJ-4 (Yang Pool).
COMBINATIONS
Toothache of the upper jaw: Yanggu SI-5 and Zheng-
ying GB-17 (Thousand Ducat Formulas).
Toothache of the lower jaw: Yanggu SI-5, Yemen SJ-2,
Shangyang L.I.-1, Erjian L.I.-2 and Sidu SJ-9 (Thou-
sand Ducat Formulas).
Swelling of the submandibular region with lockjaw:
Yanggu SI-5 and Xiaxi GB-43 (One Hundred Symp-
toms).
Tinnitus and deafness: Yanggu SI-5, Xiaguan ST-7,
Guanchong SJ-1, Yemen SJ-2 and Yangxi L.I.-5 (Sys-
tematic Classic).
Dizziness and eye pain: Yanggu SI-5 and Feiyang
BL-58 (Supplementing Life).
Manic laughter: Yanggu SI-5 and Shenmen HE-7
(Thousand Ducat Formulas).
Wangu SI-4
Yanggu SI-5
triquetral bone
ulna
Combinations Index
Points Index General Index Indications Index Point Names Index Glossary
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CONTENTS
Lung
L. Intestine
Stomach
Spleen
Heart
S. Intestine
Bladder
Kidney
Pericardium
Sanjiao
Gall Bladder
Liver
Conception
Governing
Extra Points
See Notes
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CONTENTS
Small Intestine Channel 2
Madness with vomiting: Yanggu SI-5, Zhubin KID-9,
Houding DU-19, Qiangjian DU-18, Naohu DU-17,
Luoque BL-8 and Yuzhen BL-9 (Thousand Ducat For-
mulas).
Mad walking: Yanggu SI-5 and Fengfu DU-16 (Great
Compendium).
Pain of the elbow, at times cold: Yanggu SI-5, Quchi
L.I.-11, Guanchong SJ-1, Shousanli L.I.-10, Zhongzhu
SJ-3 and Chize LU-5 (Thousand Ducat Formulas).
Inability to raise the shoulder and put on clothes:
Yanggu SI-5 and Qinglengyuan SJ-11 (Thousand
Ducat Formulas).
Haemorrhoids, swelling of the axilla: Yanggu SI-5,
Chengjin BL-56, Chengfu BL-36 and Weizhong BL-40
(Thousand Ducat Formulas).
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